Professional Medical Claims Analyst who has a comprehensive understanding of the laws and guidelines concerning medical claims. Adept at analyzing complicated insurance data working in conjunction with insurance representatives and monitoring payment progress. Specializes in data entry filling out insurance paperwork and the software that is specific to the industry.

Core Qualifications

Proficient in several types of coding software platforms

Knowledgeable on the laws and rules regarding medical claims

Has worked extensively with the government claims process

Intimately familiar with the pre-adjudication process of filing medical claims

Meticulously accurate with figures in spreadsheets

Excellent in a team environment

Has trained other claims analysts

Experience

Medical Claims Analyst

3/1/2009 – 7/1/2014

HealthSystem Corporation

New Cityland, CA

Analyzed each claim to make sure that they followed proper guidelines and procedures.

Was responsible for filing each claim and keeping the claim archive accessible.

Created a monthly report for management on the financial status of outstanding and paid claims.

Medical Claims Analyst

1/1/2002 – 3/1/2009

Integrated Health

New Cityland, CA

Received and immediately processed government medical claims to insure payment as soon as possible.

Worked with several clients on developing streamlined claims process.

Helped to develop a more efficient manner for filing pharmaceutical claims.

Medical Claims Analyst

12/1/1994 – 1/1/2002

Health Solutions Now

New Cityland, CA

Scanned new claims into the computer system for archiving purposes.

Filled out all necessary claim forms for government medical claims.

Developed process manual for inputting claims into the new company computer system when it was installed.

Education

Associate’s Degree – Business

1993

Morton Technical College

New Cityland, CA

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